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Dr. Agustin V Vitualla, MD
General Practice Physician in Camden, Tennessee
NPI 1134217029

Agustin V Vitualla is a General Practice Physician based in Camden, TN. Agustin V Vitualla practices in Camden, TN and has the professional credentials of MD. The NPI Number for Agustin V Vitualla is 1134217029 and holds a License No. 017177 (Tennessee).

The current practice location address for Agustin V Vitualla is 135 Hospital Dr, Camden, TN and can be reached out via phone at 731-584-2117 and via fax at 731-584-3564.

Location: 135 Hospital Dr, Camden, TN, 38320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134217029
Provider Name
Agustin V Vitualla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
135 Hospital Dr, Camden, TN, 38320
Phone Number
731-584-2117
Fax Number
731-584-3564
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3021196 05 TN
institution
Provider Business Practice Location Address Details
Address
135 Hospital Dr
City
Camden
State
Tennessee
Zip
38320
Phone Number
731-584-2117
Fax Number
731-584-3564
person
Provider Business Mailing Address Details
Address
135 Hospital Dr
City
Camden
State
Tennessee
Zip
38320
Phone Number
731-584-2117
Fax Number
731-584-3564
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
017177 (Tennessee)
Definition
Definition to come...
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